title: Isolated inferior mesenteric portal hypertension with giant inferior mesenteric vein and anomalous inferior mesenteric vein insertion.
abstract: Extrahepatic portal hypertension is not an uncommon disease in childhood, but isolated inferior mesenteric portal varices and lower gastrointestinal (GI) bleed have not been reported till date. A 4-year-old girl presented with lower GI bleed. Surgical exploration revealed extrahepatic portal vein obstruction with giant inferior mesenteric vein and colonic varices. Inferior mesenteric vein was joining the superior mesenteric vein. The child was treated successfully with inferior mesenteric - inferior vena caval anastomosis. The child was relieved of GI bleed during the follow-up.
authors.affiliation: Department of Pediatric Surgery, Deccan College of Medical Sciences, Hyderabad, Andhra Pradesh, India.
authors.forename: G Raghavendra
authors.initials: GR
authors.lastname: Prasad
authors.forename: Srikar
authors.initials: S
authors.lastname: Billa
authors.forename: Pavaneel
authors.initials: P
authors.lastname: Bhandari
authors.forename: Aijaz
authors.initials: A
authors.lastname: Hussain
keywords: Extra hepatic portal hypertension; giant inferior mesenteric vein; inferior mesenteric vena caval shunt